Prolotherapy, PRP (platelet rich plasma), bone marrow aspirate, and LipoGems injections help heal injured ligaments, tendons, and cartilage in just about any joint in the body.
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“PRP” stands for Platelet-Rich Plasma.
PRP is a relatively new regenerative injection technique in sports medicine, but it has been used for over 20 years by oral surgeons and plastic surgeons. Famous professional golf, football, basketball, and major league baseball players have benefited from PRP.
PRP takes advantage of a natural pharmacy in your bloodstream!
What is a PRP treatment?
PRP therapy requires taking a small blood sample. The blood is placed in a centrifuge to separate the platelet-rich plasma from the other components of whole blood. The PRP is injected into the site of the injury. Ultrasound guidance improves the injection accuracy but is not always necessary. Platelets are a fantastic medicine in your blood, filled with growth factors that are essential to repair injured tissues. The growth factors in platelets stimulate healing by increasing collagen production and by enhancing tendon stem cell proliferation. PRP repairs injured tendons, ligaments, and cartilage.
What should I expect after PRP?
You will have pain in the days immediately following the injection. The pain lessens each day as mobility, activity, endurance and strength improve. You will notice gradual improvement about 1-2 months after PRP therapy. Some people continue to improve for over 6 months after the PRP injection. Some studies using Ultrasound and MRI show a healing response after PRP.
Which injuries benefit from PRP?
Conditions commonly treated with PRP therapy include rotator cuff injuries, quadriceps or patellar tendinitis, Achilles tendon injuries, knee osteoarthritis, and tennis elbow. PRP may work for just about any tendon or ligament injury, except complete tears.
PRP treatment has also been used for biceps tendinitis, golfer’s elbow, wrist problems, hip bursitis or tendinitis, ilio-tibial band (ITB) syndrome, quadriceps or patellar tendinitis, partially torn knee ligaments (e.g. MCL or LCL), knee meniscus injuries, Achilles tendinitis, recurrent ankle sprains, foot pain, plantar fasciitis, facet joint arthritis, back pain, muscle tears and sacroiliac dysfunction.
Is PRP therapy a substitute for surgery?
PRP seems to jumpstart a previously stalled healing process in old injuries. While PRP is not an alternative to surgery, sometimes surgery is not urgently needed, and in those cases, PRP may help.
While many people improve with PRP therapy, it is difficult to predict who will respond and who will fail to do so. An incompletely healed tendon or ligament injury has microscopic tears filled in by weak scar tissue. This causes pain and abnormal joint function. The tendon or ligament is susceptible to re-injury or even a complete tear. The inadequate healing process is due to poor blood supply to articular cartilage, ligaments and tendons. Poor blood supply means slow healing. PRP tricks the body by making an old injury look like a new injury. This reboots the healing response.
PRP is a very safe procedure. The Emcyte “Pure PRP” device that Dr. Mora uses is FDA-approved. Local anesthesia lessens the pain of the PRP injection. Unlike surgery, there is little to no down time after a PRP injection. If the PRP treatment is successful, surgery may not be needed.
Does insurance pay for PRP?
Unfortunately, there are no randomized, prospective, double blind clinical trials that prove the efficacy of PRP treatment. For this reason, most insurance companies do not pay for PRP treatment. Moreover a standard treatment regimen does not yet exist (i.e. number of injections required, time interval between injections, rehabilitation protocol during and after PRP, etc.). Some people need more than just 1 PRP injection (e.g. 2 or 3 total injections).
PRP treatment works best for partial tears and degeneration of ligaments, tendons and cartilage. Ultrasound improves accuracy of injections, but it is not always used. More research is forthcoming which will determine the best use and protocols for PRP injections.
What is “Pure PRP”? Call Dr. Mora at (916) 489-4400, or go to
Dr. Mora has been safely prescribing bio-identical hormones for 20 years. Low hormone levels are best replaced using naturally occurring hormones, not synthetic hormones. It is best to replace all the hormones that are deficient, for example both estrogen and progesterone in women. Some women also need DHEA and testosterone. These hormones are available in creams, gels, patches, oral formulations, injections, and hormone pellets. Estradiol and testosterone pellets are an alternative when other methods prove unsatisfactory. The pellets are placed under the skin and deliver a constant amount of hormone for 3-4 months. Thyroid hormones include T3 and T4. Some people on thyroid replacement feel better taking both T3 and T4, and not just T4 (e.g. L-thyroxine).
Hidden infections are infections within the body that are not immediately obvious. Symptoms of hidden infections may be subtle or severe. They include low grade fever, night sweats, fatigue, swollen glands, joint pain, muscle pain, brain fog, insomnia, depression or anxiety. Examples include Hepatitis C, dental infections, Lyme disease and Babesiosis. Many people with Lyme or Babesia infections are unaware that they were bitten by a small tick, the size of a poppy seed. Dr. Mora was ILADS-trained by Dr. Richard Horowitz, M.D., author of "Why Can't I Get Better?"
We live in a toxic world. Toxins include heavy metals, PCB's, dioxins, pesticides, mold toxins, and plastics. We are exposed by drinking tap water, eating food which is not organic, and by eating fish high in mercury. The first rule of treatment is avoid exposure to toxins as much as possible. The second rule is remove the toxins safely. Ways to remove toxins include taking intestinal binders (e.g. charcoal, chlorella, citrus pectin, etc.), doing chelation therapy (e.g. EDTA, DMSA, etc), taking certain vitamins and supplements that promote liver and kidney clearance of toxins (e.g. phosphatidyl choline, glutathione precursors, etc.). and promoting sweating (e.g. far infrared sauna).
Negative thoughts are impediments to healing. Thinking positively helps the body's natural healing tendency. I recommend using affirmations, which are positive statements that one says quietly or outloud, or that you can write down on paper. A more advanced form of affirmation therapy that I use is called Emotional Freedom Technique (EFT). EFT helps clear emotional issues triggering illness, it helps reduce food cravings, it reduces pain, and it helps clear emotional scars. EFT is a psychological version of acupuncture which reprograms the nervous system, except you don't need needles. You can learn the basics of EFT at www.emofree.com.
Ancestral low-glycemic plant-based Rainbow Diet
Hippocrates said "let food be thy medicine" and Moses Mamoinides said "Any disease that can be treated by diet alone should be treated no other way". A plant-based diet, like the ones our ancestors ate, is almost a guarantee for a long healthy life. In contrast, a "fast food" diet creates inflammation and speeds up the aging process. Fast food takes you on the road to doctors' visits and prescription drugs for high blood pressure and diabetes. With a fast food diet, you can literally dig your grave with a fork. Diabetes is a "foot and fork"disease (exercise is also a big predictor of life expectancy). Diet must be individualized but for everyone, meat eaters or vegetarians, I recommend that the food you eat include all the colors of the rainbow (e.g. berries, leafy greens, cruciferous vegetables like broccoli, legumes, whole brown grains, tomatoes, carrots, yams, squashes, green tea, etc.). Cut out the sugar, crackers, snack foods, bread, french fries and pastries! Leave milk for baby cows. Eat cheese as a condiment, if you need to. Eat fermented foods like natto, sauerkraut, kimchi, and plain yogurt. And eat organic when possible. Some people need to be gluten-free (non-celiac gluten sensitivity is a real thing!). Others need to be dairy-free. Food sensitivities are more common than you think!!!
Let food be your medicine!
Follow some simple rules for a healthier and longer life:
1. Eat fewer calories by eating healthier foods, not by eating less food!
2. Eat more vegetables than fruit. Eat all the colors of the rainbow.
3. Eat cooked whole grains, and not breads, white rice, sugar, french fries or cereal in the box.
4. Don't skip breakfast! It is your most important meal. Start off the day right!
5. Drink enough water. Avoid soft drinks even diet sodas. Some people eat food when they are thirsty rather than hungry.